Active NPI
Eunice Boakye
- Pharmacist
- Manchester, CT
National Provider Identifier
1407412901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0014544
- Practice address
- 210 Pine St Apt 228
Manchester, CT 06040-8411 - Phone
- (201) 982-5418
- NPI assigned
- May 10, 2019
- Last updated
- May 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0014544 | CT | Primary |
Addresses
Primary practice location
210 Pine St Apt 228
Manchester, CT 06040-8411
Mailing address
210 Pine St Apt 228
Manchester, CT 06040-8411
Phone (201) 982-5418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014544 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1407412901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 PINE ST APT 228",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060408411",
"telephone_number": "201-982-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 PINE ST APT 228",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060408411",
"telephone_number": "201-982-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOAKYE",
"first_name": "EUNICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-10",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0014544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.